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pquulclnnniyki— EXXUN L;U NNY, U.�.H. <br /> Ci� <br /> 0 Chesapeake Dr. <br /> Redwood Cily,CA 94063 P.4.Box 21 B0,Iio ton,TX 77002-7426 <br /> CHAIN OF CUSTODY <br /> (415)364-9600 • FAX(415)364-9233—Al <br /> Consultant's Name: l �c1:G�1/r�c�, �,�5�: .w3 _ -- — Fagtr —Ot — — <br /> Address: G-� oL C Cl��, mac.,•��c� - Site location: S <br /> Project#: Consultant Project #: Consultant Work Release#: 04 303 <br /> Project Contact: /`/iL1k� ' `� Phone #: Zc:�� laboratory Work Release#: <br /> EXXON Contact. ASG Phone #: EXXON RAS #: <br /> Sampled by(print): aV 5-� 4�3 �,S Sampler's Signature: r A <br /> Shipment Method: Air Bili #. <br /> TAT: ❑ 24 hr ❑ 48 hr ❑ 72 hr ❑ 96 hrxr <br /> Standard (10 day) ANALYSIS REQUIRED , <br /> TPI!/Gas TPt-1/ TRFR Teinperalure: W__ <br /> Sample Collection Collection Matrix prsv # of Sequoia's 1BTEX/ Diesel S-114- <br /> Description pate Time SoMater/Air Cont. Sample # 8015/ EPA 5520 Inbound Seat. Yes No <br /> 8020 8015 outbound Seal: Yes No <br /> o <br /> Cr <br /> b � Z` <br /> I <br /> m <br /> 6 <br /> _01) <br /> � I <br /> Ryk OUISHEDYIAFFILIATION Date Time ACC PTSD/AFFILIATION Date Time AddiaonalComments <br /> '' I15 <br /> _ n <br />